February 2019
Facing feeding tubes
Evidence and guidelines are against feeding tubes for patients with advanced dementia, but practice often differs.
The imperfection of ICU admission decisions
ICU clinicians and experts continue to hunt for methods to make intensive care high quality and high value.
Physicians' obligations under EMTALA
Some examples explain the Emergency Medical Treatment and Labor Act (EMTALA).
Subsegmental pulmonary embolism
An example patient with sickle cell disease provides a lesson in diagnosing subsegmental pulmonary embolism.
Getting patients on board with VTE prophylaxis
A bundle to educate patients about venous thromboembolism (VTE) included a 10-minute video of patients' stories and in-person support from a nurse educator.
A systemwide approach to end-of-life care
One health system developed an advance directive toolkit for patients and communication training for clinicians.
Heart failure documentation and coding challenges
Identifying the systolic versus diastolic nature of heart failure is crucial for clinical management and coding purposes.
Deleted
A resident discovers a very special hospital computer.
Difficult decisions
Learn about dilemmas related to feeding tubes in advanced dementia and ICU admission in this month's issue.
New cardiac warning for fluoroquinolones
Details on the latest alerts, recalls, and approvals.
NSTEMI algorithm, metabolic acidemia, and more
Summaries from ACP Hospitalist Weekly.
MKSAP quiz on intensive care
This month's quiz includes questions from ACP's Medical Knowledge Self-Assessment Program (MKSAP 18) that take place in the ICU.